Individual
MICHAEL D STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-098815
IL
207XX0801X
Orthopaedic Trauma Physician
36098815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36098815
—
IL
01
—
L81088
MEDICARE
IL
Enumeration date
02/14/2006
Last updated
02/04/2020
Update your record
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